Director, IT Revenue Cycle Applications

Rochester Regional Health

1d•$125,000 - $155,000•Hybrid

About The Position

The Director, IT Revenue Cycle Applications is a leadership role within the Information Systems & Technology department, responsible for delivering and maintaining the operational performance of enterprise revenue cycle applications across the organization. The role provides direction and day-to-day oversight for revenue cycle areas and third-party applications integrated with the Electronic Health Record. The director owns Epic mid- and back-revenue-cycle modules, including Hospital Billing (HB), Professional Billing (PB), Resolute Claims, Coding, and Health Information Management (HIM), together with third-party applications supporting end-to-end revenue cycle operations. These include coding platforms, computer-assisted coding (CAC), clinical documentation improvement (CDI) tools, clearinghouses, contract management, and denial management systems. The position is a primary IT partner to business leaders and participates in governance processes, ensuring application investments, priorities, and performance align with organizational financial and operational goals. The director collaborates across the organization to support a reliable, compliant, and high-performing environment. The role is hybrid, based at Riedman Campus in Rochester, New York, and is scheduled for 40 hours per week, Monday through Friday, 8:00 a.m. to 5:00 p.m.

Requirements

For individuals hired after 04/05/2026: Bachelor's degree in Health Information Management, Information Systems, Business Administration, or a related field.
For individuals hired after 04/05/2026: 5 or more years of experience in a leadership or management capacity.
For individuals hired as of 04/05/2026: 8 or more years of experience in revenue cycle healthcare information technology.

Responsibilities

Recruit and retain talent; foster a collaborative, team-based environment focused on continuous improvement and engagement; recognize performance; support professional development, workplace well-being, and safety.
Develop and execute a multi-year strategic roadmap aligned with clinical, operational, and financial goals, translating organizational strategy into priorities, capabilities, and investments.
Represent IT in governance meetings, steering committees, and executive forums; champion initiatives that improve service performance and monitor industry trends relevant to the specialty area.
Own Epic mid- and back-revenue-cycle applications, including Hospital Billing (HB), Professional Billing (PB), Resolute Claims, Coding, and Health Information Management (HIM).
Oversee the full application lifecycle—including configuration, optimization, upgrades, integration, and rationalization—to align applications with revenue cycle workflows and regulatory requirements.
Partner with operational leaders to evaluate and expand Epic functionality as organizational needs evolve.
Direct third-party revenue cycle applications, including coding platforms, CAC/CDI tools, clearinghouses, contract management, and denial management systems; ensure integration with Epic and alignment with enterprise architecture standards.
Collaborate with Revenue Cycle operations and Coding Compliance to support revenue integrity, including configuration underpinning Charge Description Master (CDM) accuracy, charge capture completeness, and coding workflow integrity.
Build trusted relationships with senior business leaders, including VP-level stakeholders, to support demand management, prioritization, and communication about IT capabilities and constraints.
Translate technical concepts into business language and explain application decisions in terms of operational impact, risk, and regulatory compliance; communicate project status, system performance, and issue resolution to senior audiences.
Participate in IT governance, change advisory boards, architecture review committees, and portfolio prioritization forums; lead intake, demand management, and portfolio prioritization while balancing operational stability and strategic enhancement.
Ensure changes, integrations, and vendor additions comply with governance standards and enterprise architectural principles; partner with enterprise architecture and IT leadership on application design, integration, and data management standards and policies.
Manage operational, regulatory, privacy, and vendor risks for the portfolio; ensure applications comply with applicable healthcare regulations and industry frameworks.
Partner with Legal, Compliance, Privacy, Coding Compliance, and Internal Audit on audits, regulatory inquiries, and policy updates; maintain controls, standards, and procedures for application access, charge integrity, and claims submission.
Lead the design, implementation, operation, and continuous improvement of applications and supporting infrastructure; establish and mature service management practices for incident, problem, change, request, and knowledge management, consistent with ITIL or comparable frameworks.
Manage outages and disruptions, lead incident response and post-incident reviews, and provide timely updates and root-cause analysis.
Monitor key performance indicators with partners and use application-level insights to inform configuration decisions and drive systemic performance improvement.
Translate workflow, compliance, and financial outcome needs into prioritized application capabilities and solutions; oversee programs and projects using Agile, Waterfall, or hybrid methodologies to ensure quality, predictability, and value realization.
Support change management and adoption of implementations and optimizations, including workflow redesign, training coordination, and communications; measure delivered solutions' operational and financial outcomes.
Own the portfolio's operating and capital budgets, including forecasting, variance management, and cost optimization; develop business cases explaining value, risk, and total cost of ownership.
Manage strategic vendor and partner relationships, including Epic, revenue cycle software publishers, clearinghouses, and implementation partners, to ensure contractual performance, service levels, license optimization, and product roadmap alignment.